Fragmentation of ambulatory care among older adults: an exhaustive database study in an ageing city in Japan.
Makoto KanekoSatoru ShinodaSayuri ShimizuMakoto KurokiSachiko NakagamiTaiga ChibaAtsushi GotoPublished in: BMJ open (2022)
To our knowledge, this is the first study to demonstrate care fragmentation in Japan. Over 80% of the participants visited two or more medical facilities, and their mean FCI was 0.583. The FCI could be a basic indicator for assessing the quality of primary care.